A list of the most recent deficiencies for Rock Hill Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-04 | 2023-11-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-11-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-01 | 2023-09-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-03 | 2023-04-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-03 | 2023-04-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-03 | 2023-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-03 | 2023-04-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-03 | 2023-04-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-03 | 2023-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-03 | 2023-04-14 | N |
| Post nurse staffing information every day. | Health | 2023-03-03 | 2023-04-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-03 | 2023-04-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-03-03 | 2023-04-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-03 | 2023-04-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-03 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-04-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-03-03 | 2023-04-14 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-03 | 2023-04-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-03 | 2023-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-03 | 2023-04-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-03 | 2023-04-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-03 | 2023-04-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-04-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-03 | 2023-04-14 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-01-03 | 2023-01-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-14 | 2022-12-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-06 | 2022-12-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-20 | 2022-10-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-20 | 2022-10-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-28 | 2022-10-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-28 | 2022-10-24 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-15 | 2022-08-23 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-15 | 2022-08-23 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-04-19 | 2022-05-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-19 | 2022-05-19 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-19 | 2022-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-19 | 2022-05-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-21 | 2021-11-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-11-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-27 | 2021-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-27 | 2021-06-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-27 | 2021-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-27 | 2021-06-02 | N |
| Keep all essential equipment working safely. | Health | 2021-04-27 | 2021-06-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-27 | 2021-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-27 | 2021-06-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-27 | 2021-06-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-14 | 2019-07-29 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-06-14 | 2019-07-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-14 | 2019-07-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-14 | 2019-07-29 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-14 | 2019-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-14 | 2019-07-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-14 | 2019-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-14 | 2019-07-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-06-14 | 2019-07-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-14 | 2019-07-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-06-14 | 2019-07-29 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-06-14 | 2019-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-14 | 2019-07-29 | N |
| Dispose of garbage and refuse properly. | Health | 2019-06-14 | 2019-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-14 | 2019-07-29 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-06-14 | 2019-07-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-14 | 2019-07-29 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-14 | 2019-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-03 | Not Fixed | N |
